Author/Editor		Magdič, Jožef; Sinkovič, Andreja
Title		Nenadna kardiocirkulatorna odpoved pri primarnem možganskem tumorju - prikaz primera in pregled literature
Translated title		Sudden cardiocirculatory collapse and primary brain tumor - a case report and a review of the literature
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 72, št. 4
Publication year		2003
Volume		str. 213-6
Language		slo
Abstract		Background. We are presenting a case of 62 year old woman with acute cardiocirculatory collapse with signs of obstructive shock. Methods. After succesfull cardiopulmonary resuscitation (CPR) massive pulmonary thrombembolism was excluded by helical chest CT; but following brain CT revealed a brain tumor surrounded by abundant brain edema. With regard to all the accomplished diagnostic procedures, clinical picture, further clinical course and response to treatment, neurogenic cause of obstructive shock was most probable. Results. After surgical removal of glioblastoma, the patient was discharged from the hospital with moderate neurological deficit. Conclusions. During the course of brain tumors acute cardiocirculatory failure presented as a obstructive shock can evolve, because of local effects on brain circulatory (vasomotor) centers.
Summary		Izhodišča. Prikazan je primer 62-letne bolnice z nenadno odpovedjo srca in cirkulacije zaradi obstruktivnega šoka. Metode. Po uspešnem oživljanju je bila z opravljenim spiralnim CT prsnega koša izključena masivna pljučna trombembolija, s CT možganov pa ugotovljen možganski tumor z izrazitim edemom okolne možganovine. Glede na opravljene preiskave, klinično sliko, potek in odziv na zdravljenje je verjetno šlo za nevrogeno povzročen obstruktivni šok. Rezultati. Po operativni odstranitvi glioblastoma je bila bolnica odpuščena v domačo oskrbo delno samostojna za dnevna opravila. Zaključki. V poteku možganskih tumorjev je možen nenadni razvoj obstruktivnega šoka z odpovedjo srca in krvnega obtoka zaradi draženja vazomotornih centrov v osrednjem živčevju.
Descriptors		BRAIN NEOPLASMS HEART FAILURE, CONGESTIVE ENCEPHALOCELE MIDDLE AGE TOMOGRAPHY, X-RAY COMPUTED THROMBOPHLEBITIS PULMONARY EMBOLISM MYOCARDIAL INFARCTION